Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,159.00 / $3,636.00 / $7,385.36	Facility		$1,159.00	$3,636.00	$7,385.36
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,335.38 / $2,762.41 / $5,592.33	Professional		$2,335.38	$2,762.41	$5,592.33
BCBS Facility/Professional Facility Modifier Low / Median / High Price $16,463.33 / $35,215.68 / $70,519.39	Facility		$16,463.33	$35,215.68	$70,519.39
BCBS Facility/Professional Professional Modifier Low / Median / High Price $4,640.68 / $5,362.40 / $8,970.62	Professional		$4,640.68	$5,362.40	$8,970.62
Cigna Facility/Professional Facility Modifier Low / Median / High Price $875.00 / $875.00 / $908.00	Facility		$875.00	$875.00	$908.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,791.45 / $4,819.18 / $6,354.18	Professional		$2,791.45	$4,819.18	$6,354.18
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $3,234.88 / $5,098.68 / $12,784.45	Professional		$3,234.88	$5,098.68	$12,784.45
Hally Health Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $100.00 / $100.00	Facility		$100.00	$100.00	$100.00
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $3,338.65 / $4,017.14 / $4,640.68	Professional		$3,338.65	$4,017.14	$4,640.68
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $5,354.64	Professional		$32.34	$32.34	$5,354.64
United Facility/Professional Facility Modifier Low / Median / High Price $578.00 / $2,873.00 / $7,384.00	Facility		$578.00	$2,873.00	$7,384.00
United Facility/Professional Professional Modifier Low / Median / High Price $2,833.11 / $4,265.17 / $7,554.45	Professional		$2,833.11	$4,265.17	$7,554.45